Pharmacy Services Spec 1- Hybrid in Killeen, TX for Baylor Scott & White Health

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Northwell Health

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Portland, Oregon

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Marshfield Clinic Health System

Stevens Point, Wisconsin

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Administrative Assistant (Anesthesiology)

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Pharmacy Services Spec 1- Hybrid

JOB SUMMARYThe Pharmacy Services Specialist 1 communicates with members, providers and clients to discuss benefits of the Health Plan Pharmacy services, makes determinations and enters prior authorizations based on criteria met and resolves claims processing and eligibility issues while following department policies and procedures. Works on the customer?s behalf, as well as, being a liaison of the Health Plan to find root cause issues to address concerns that are brought forward by the customer.ESSENTIAL FUNCTIONS OF THE ROLEAssists customers, by phone or through written correspondence, to satisfactorily solve claims processing

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